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Published on: January 11, 2020
Clinical Decision-Making: Restless Legs Syndrome and Dementia in Older Adults
Kathy Richards1, Katherine Carroll Britt2, Norma Cuellar3
1The University of Texas at Austin, School of Nursing, 1710 Red River Street, Austin, TX 78712, USA. Electronic address: https://twitter.com/kathyrichards2.
Abstract:
Restless legs syndrome (RLS), one of the more prevalent sleep disturbances among older adults, impacts quality of life. Patients with dementia are at high risk for developing RLS and may be unable to describe their symptoms. Often underdiagnosed, RLS can contribute to discomfort, pain, nighttime agitation, disturbed sleep, and falls. Clinical assessment is crucial and should include a thorough evaluation with input from the patient and family, deprescribing medication if possible, and consideration of common sleep-disturbing factors. Evidence-based treatment in this population is limited; overall focus should center on relieving discomfort while identifying and treating bothersome sleep symptoms.
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